HomeMy WebLinkAboutF2022-0595 - PermitsCity of Newport Beach
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Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Combination Type -
Work Class - Tenant Improvement
F 2 0 2 2 0 5 9 5COMB Permit: F2022-0595
Plan Check No : PC2022-2890
Issued Date : 03/09/2023
Inspection Area : FIRE
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address : 4695 MACARTHUR CT, 850 Legal Desc : P BK 196 PG 40 PAR 2
Description : COMM FIRE SPRINKLER TI 17 HEADS (XC2022-2069)
Owner: IRVINE CO
Contractor: FIRE PROT SPECIALISTS
Architect
Address : 111 INNOVATION
Address: 2810 E MIRALOMA AVE
Address
IRVINE, CA 92618
ANAHEIM, CA 92806
Phone: (949) 608-9659
Phone : (714) 635-6500
Phone
Con State Lic : 464915
State Lic
Lic Expire: 10/31/2024
Applicant: MARK YAM
Bus Lie: BT30042894
Engineer
Address : 392 N LEMAY CT
Bus Lic Expire : 05131/2023
Address
ORANGE, CA92867
Phone: (626) 757-2320
Workers' Compensation Insurance
Phone:
Carrier: COMPWEST INS CO
Owner/Builder :
Policy No: WCV5502952
Designer: FIRE PROTECTION SPECIALISTS
Address :
W. C. Expire: 12/2/2023
Address: 2810 E MIRALOMA AV
ANAHEIM, CA 92806
Phone:
Phone: (714) 625-6500
Code Edition : 2019
Fire Sprinklers : YES
Construction Valuation : $1,850.00
Type of Construction : I -A
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg: 0
Occupancy Groups : B
No of Units : 0
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories : 15
Added/New sq. ft. Garage : 0
TOTAL sq. ft.: 0
Building Setbacks
Flood Zone : X
Use Zone: PC - Koll Center
1'
PROCESSED BY:
SPECIAL CONDITIONS:
I hereby affLrrn under penally of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
is permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
'rofessions Code) or that he or she is exempt from ficensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fore permit subjects the applicant le a civil penalty of
of more than five hundred dollars ($500).
7 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U potions of the work, and the structure Is not intended or offered for sale (Section 7044,
.usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that It was not built or
nproved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
poly to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I I am exempt from licensers under the Contractors' State License Law for [tie following reason—
.y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally
oil a structure that I have built as an ownor-builder if it has not been constructed in its entirely by licensed contractors. I understand that copy of the applicable law. Section 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:liwww.leginfo.ca.gov/calaw.html.
Iignahue of Property Owner or Authorized Agent __ Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of pery'ury that I am licensed under provisions of Chapter 9 (commencing with 5ecii0 000 of ivision 3 of the Business and Professic s de, an y tic se' In full farce
VORKEt. License Class License No D�� Contractor re p JvAA�—
VORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINA PENALTIES ANO CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (St W,0001, IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
] 1 have and will maintain a certificate of consent to self -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the
airJormance of the work for which this permit is issued. Policy No.
have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code.. for the performance of the work for which this permit is issued. My workers'
Fence Canter and policy number are:
Policy Number Expiration Date
of Agent Phone fl
certify that, in the performance of the work for w this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
1, if I should become subject i�q�h/�w/yrkers' CI pen lion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ? 2
nature of Applicant 1� / �„31e x 7 Dat�J 2
CLARATIGN REGAROMC�ICONSTRUCTTTfffON LENDING AGENCY
baby affirm underpanalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, wit Gode).
Ides Name Lender's Address
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf.
I have read this application andthe information I have provided is car CL
I agree to comply with all applicable city and county o nances an slat laws relating to building construction.
I authorize representatives of this city or count to /ptthh�;e, a v -tde fie roperty for inspection purposes. . / _ n /
nature of Pronertv Owner or Authorized Aoent I �Ze ,FAIL4 � Print Prooertv Owner's or Authorized Aoent's Namer\ /W73 �"1 K ��/ d� Dale 3/,J .7
ACTION DATE BY JF DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
PERMIT EXPIRED
i U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
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CERTIFICATE OF
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OCCUPANCYISSUEO
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